| NPI | 1730299603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01050876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD16489) |
| 207Q00000X Family Medicine (Licence: VA 0101266076) | |
| 207Q00000X Family Medicine (Licence: NC 2019-00100) | |
| 207Q00000X Family Medicine (Licence: TX S0441) | |
| 207Q00000X Family Medicine (Licence: MN 65197) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-10-21 |